新疆某三级综合医院护理敏感性质量指标体系应用的现况调查
发布时间：2019-06-06 12:02
【摘要】：目的:(1)运用新疆护理质量控制中心颁布的护理敏感性质量指标体系,了解新疆某三甲医院2016年护理质量现状;(2)将各敏感指标数据与全国数据进行比较;(3)探索护理质量结构指标、过程指标与护理质量结果指标的相关关系,为改善医院护理质量提供依据。方法:本研究采用横断面调查,运用敏感指标数据采集表调查2016年1月到2016年12月新疆某三级综合医院有住院床位科室的敏感指标数据,包括结构指标护患比、过程指标护士工作满意度、结果指标静脉给药错误发生率、住院患者跌倒/坠床发生率、住院患者跌倒/坠床伤害率、高危患者压疮发生率、院内压疮发生率、非计划拔管发生率、住院患者体验与满意度,并采用线性回归分析护理质量结构指标、过程指标与结果指标之间的关系。结果:(1)各指标基本情况如下:护患比为1:11.11;护士工作满意度得分为90.507±6.058;静脉给药错误发生率(‰)为0.026±0.010;住院患者跌倒/坠床发生率(‰)为0.101±0.024;住院患者跌倒/坠床伤害率(%)为38.675±7.964;高危患者压疮发生率(‰)为4.247±1.496;院内压疮发生率(‰)为0.684±0.214;非计划拔管发生率(‰)为1.580±0.522;住院患者体验与满意度得分97.704±5.385。(2)与国家护理质量数据相比,医院的护患比低于全国医院平均水平;住院患者跌倒/坠床发生率、住院患者跌倒/坠床伤害率院内压疮发生率均高于全国医院平均水平。(3)结构指标护患比与过程指标护士工作满意度呈正相关关系(P0.05),与结果指标静脉给药错误发生率、住院患者跌倒/坠床发生率、住院患者跌倒/坠床伤害率呈负相关关系(P0.05),与高危患者压疮发生率、院内压疮发生率、非计划性拔管发生率、住院患者体验与满意度无相关关系(P0.05)。(4)过程指标护士工作满意度与结果指标住院患者体验与满意度呈正相关关系(P0.05),与静脉给药错误发生率、住院患者跌倒/坠床发生率、住院患者跌倒/坠床伤害率、高危患者压疮发生率、院内压疮发生率、非计划拔管发生率之间无明显相关性(P0.05)。结论:(1)护理敏感性质量指标能较好的反映护理质量,值得推广应用。(2)结构指标护患比对护理质量结果有一定的影响,目前医院的护士人力配备不足,护理管理人员应该增加护理人员数量,合理配置各科室护理人力来提高护理质量。(3)过程指标护士工作满意度可以影响住院患者体验与满意度,护士工作满意度越高,住院患者满意度越高。
[Abstract]:Objective: (1) to understand the present situation of nursing quality in a third grade A hospital in Xinjiang in 2016 by using the nursing sensitivity quality index system promulgated by Xinjiang Nursing quality Control Center, (2) to compare the data of each sensitive index with the national data. (3) to explore the correlation between nursing quality structure index, process index and nursing quality outcome index, so as to provide basis for improving nursing quality in hospital. Methods: in this study, cross-section survey and sensitive index data collection table were used to investigate the sensitive index data of inpatient bed departments in a three-level general hospital in Xinjiang from January 2016 to December 2016, including the ratio of nurses to patients with structural indexes. Process index nurses' job satisfaction, results the incidence of intravenous drug administration errors, the rate of fall / fall injury in inpatients, the incidence of pressure sore in high risk patients, the incidence of pressure sore in hospital, The incidence of unplanned extubation, the experience and satisfaction of inpatients, and the relationship between nursing quality structure index, process index and outcome index were analyzed by linear regression. Results: (1) the basic situation of each index was as follows: the nurse-patient ratio was 1 鈮，
本文编号：2494351
[Abstract]:Objective: (1) to understand the present situation of nursing quality in a third grade A hospital in Xinjiang in 2016 by using the nursing sensitivity quality index system promulgated by Xinjiang Nursing quality Control Center, (2) to compare the data of each sensitive index with the national data. (3) to explore the correlation between nursing quality structure index, process index and nursing quality outcome index, so as to provide basis for improving nursing quality in hospital. Methods: in this study, cross-section survey and sensitive index data collection table were used to investigate the sensitive index data of inpatient bed departments in a three-level general hospital in Xinjiang from January 2016 to December 2016, including the ratio of nurses to patients with structural indexes. Process index nurses' job satisfaction, results the incidence of intravenous drug administration errors, the rate of fall / fall injury in inpatients, the incidence of pressure sore in high risk patients, the incidence of pressure sore in hospital, The incidence of unplanned extubation, the experience and satisfaction of inpatients, and the relationship between nursing quality structure index, process index and outcome index were analyzed by linear regression. Results: (1) the basic situation of each index was as follows: the nurse-patient ratio was 1 鈮，
本文编号：2494351
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